Individual
DR. AMBREEN RASHID SHAKEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6194
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2499
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768880F
—
OK
05
—
100768880I
—
OK
05
—
100768880J
—
OK
01
—
37-1803
MEDICARE
OK
01
—
37-1832
MEDICARE
OK
01
—
37-1834
MEDICARE
OK
Enumeration date
12/13/2007
Last updated
12/27/2007
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